| NPI | 1730232778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY HESTER Certified Prosthetist 601-259-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-04-20 |